Lain Samantha J, Roberts Christine L, Raynes-Greenow Camille H, Morris Jonathan
Kolling Institute of Medical Research, University of Sydney, Royal North Shore Hospital, St Leonards, NSW, Australia.
Aust N Z J Obstet Gynaecol. 2010 Feb;50(1):25-9. doi: 10.1111/j.1479-828X.2009.01126.x.
In 2004, the Federal Government introduced the baby bonus, a one-off payment upon the birth of a child.
To assess the impact of an increase in the number of births on maternity services in New South Wales following the introduction of the baby bonus payment in July 2004.
A population-based study, using NSW birth records, of 965 635 deliveries from 1998 to 2008 was carried out. The difference between the predicted number of births in 2005-2008, estimated from trends in births from 1998 to 2004, and the observed number of births in NSW hospitals in 2005-2008 were calculated. We also estimated the increase in cost to the health system of births in 2008 compared with previous years.
Compared with trends prior to the introduction of the baby bonus, there were an estimated 11 283 extra singleton births per year in NSW hospitals by 2008. There were significant increases in the number of deliveries performed in tertiary, urban and rural public hospitals; however, the number of deliveries in private hospitals remained stable. Compared with predicted estimates, in 2008, there were over 8700 more vaginal deliveries, over 1000 more preterm births and over 45 000 extra infant hospital days each year. Compared with 2004, in 2008, the estimated cost of births in NSW hospitals increased by $60 million.
The increase in births following the introduction of the baby bonus has significantly impacted maternity services in NSW.
2004年，联邦政府推出了育儿补贴，即在孩子出生时一次性支付的款项。
评估2004年7月推出育儿补贴后，新南威尔士州出生人数增加对产科服务的影响。
基于新南威尔士州的出生记录，对1998年至2008年的965635例分娩进行了一项基于人群的研究。计算了根据1998年至2004年的出生趋势估算的2005年至2008年预计出生人数与新南威尔士州医院2005年至2008年实际观察到的出生人数之间的差异。我们还估算了2008年与前几年相比，出生给卫生系统带来的成本增加。
与推出育儿补贴之前的趋势相比，到2008年新南威尔士州医院每年估计多了11283例单胎出生。三级公立医院、城市公立医院和农村公立医院的分娩数量显著增加；然而，私立医院的分娩数量保持稳定。与预测估计数相比，2008年每年阴道分娩多了8700多例，早产多了1000多例，婴儿住院天数多了45000多天。与2004年相比，2008年新南威尔士州医院的出生估计成本增加了6000万美元。
推出育儿补贴后出生人数的增加对新南威尔士州的产科服务产生了重大影响。
